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diagnosis differential causes dermatology endocrinology generalized pruritus systemic abnormal alopecia anemia diarrhea dyslipidemia endocrine focal fractures fragility hairloss hematology hyperlipidemia
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
TSH, Low normal T4 ... +/- T3 → Primary ... T3 → Central (secondary ... #algorithm #diagnosis ... endocrinology #TFTs #TSH #Interpretation
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Differential Diagnosis Algorithm ... Creatinine & BUN: • Chronic ... /uremia TSH & T4 ... : • Hypothyroidism ... #secondary #systemic
Pruritus - No Primary Skin Lesion - Differential Diagnosis Algorithm Blood Glucose: • Diabetes Mellitus Liver Function Tests/Enzymes:
Pruritus - No Primary ... Creatinine & BUN: • Chronic ... /uremia TSH & T4 ... : • Hypothyroidism ... #Pruritus #secondary
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm DIFFUSE Scarring - Irreversible-biopsy required • Lupus
Differential Diagnosis Algorithm ... • Hyperthyroidism ... contraceptives • Hyperthyroid ... decalvans - Secondary ... areata • Secondary
Chronic Diarrhea - Differential Diagnosis Algorithm Steatorrhea - Maldigestive • Pancreatic Insufficiency - Primary
Differential Diagnosis Algorithm ... Insufficiency - Primary ... Crohn's Disease - Secondary ... Syndrome • Hyperthyroid ... Neuropathv • Hyperthyroidism
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... goiter • Toxic diffuse ... thyroiditis Secondary ... T3 • ↑ Free T4 ... Glucocorticoids: Reduce T4
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Differential Diagnosis Algorithm ... Diabetes • Hypothyroidism ... Deficiency • Primary ... Causes • Hypothyroid ... Differential #Diagnosis #Algorithm
Primary and Secondary Causes of Osteoporosis Primary osteoporosis - idiopathic juvenile osteoporosis - postmenopausal
Primary and Secondary ... syndrome) - hyperthyroidism ... Gastrointestinal diseases - chronic ... plasmacytoma) - diffuse ... immobilization - chronic
Pathologic / Fragility Fractures - Differential Diagnosis Algorithm Tumours - See Bone Lesions Scheme Paget's Disease -
Differential Diagnosis Algorithm ... Osteodystrophy - Secondary ... to Chronic Renal ... / Ricketts - Diffuse ... Phosphate Deficiency Primary
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Decreased WBCs - Decreased/NormaI
Differential Diagnosis Algorithm ... Reticulocytosis • Primary ... Hypersplenism • Secondary ... RA, SLE, PRV, Chronic ... Cancer • Hypothyroid
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